2021
DOI: 10.1038/s41419-021-04116-6
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The metabolic flexibility of quiescent CSC: implications for chemotherapy resistance

Abstract: Quiescence has been observed in stem cells (SCs), including adult SCs and cancer SCs (CSCs). Conventional chemotherapies mostly target proliferating cancer cells, while the quiescent state favors CSCs escape to chemotherapeutic drugs, leaving risks for tumor recurrence or metastasis. The tumor microenvironment (TME) provides various signals that maintain resident quiescent CSCs, protect them from immune surveillance, and facilitates their recurrence potential. Since the TME has the potential to support and ini… Show more

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Cited by 57 publications
(35 citation statements)
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“…There is another peculiar characteristic of CSCs that can give them the ability to be quiescent: plasticity. Cell plasticity allows for cellular switching in response to signals from the surrounding environment, without the need for genetic change, even modulating cell cycle entry and exit [ 57 , 78 ]. This mechanism lets cancer cells adapt better to circumstances, especially adverse conditions, and allows CSCs to facilitate cancer progression, remaining safe and quiescent for years, ready for awakening as soon as the situation requires rebuilding the tumor itself [ 79 , 80 ].…”
Section: Cscs In Tumor Growth and Dissemination: The Quiescent And Th...mentioning
confidence: 99%
“…There is another peculiar characteristic of CSCs that can give them the ability to be quiescent: plasticity. Cell plasticity allows for cellular switching in response to signals from the surrounding environment, without the need for genetic change, even modulating cell cycle entry and exit [ 57 , 78 ]. This mechanism lets cancer cells adapt better to circumstances, especially adverse conditions, and allows CSCs to facilitate cancer progression, remaining safe and quiescent for years, ready for awakening as soon as the situation requires rebuilding the tumor itself [ 79 , 80 ].…”
Section: Cscs In Tumor Growth and Dissemination: The Quiescent And Th...mentioning
confidence: 99%
“… • The quiescent state : Quiescence or dormancy is a survival strategy for CSCs. In the quiescent state, cell division stops for a while, and cells live with minimal metabolic activity, but still retain the ability to reactivate the cell cycle ( Chen et al, 2021 ). In this state, both intrinsic (e.g., p53 signaling, reactive oxygen species, hypoxia inducible factor-1a, nuclear factor of activated T cells c1, and negative regulators of mTOR) and non-intrinsic factors (e.g., Tie2/angiopoietin-1, TGF-b and bone morphogenic proteins, thrombopoietin, N-cadherin and integrins, osteopontin, and Wnt/b-catenin signaling) are involved ( Li and Bhatia, 2011 ).…”
Section: The Biology Of Cancer Stem Cellsmentioning
confidence: 99%
“…According to studies, TME and epigenetic mechanisms have a major contribution to the maintenance of the quiescentstate of CSCs as well as evade immune surveillance and destruction, and tumor relapse. Therefore, the presence and persistence of the quiescence or dormancy state in CSCs can lead to the survival of CSCs and cell resistance to treatments such as chemotherapy ( Chen et al, 2021 ). • Self-renewal : Self-renewal is one of the noted hallmarks of CSCs that results from a malfunction of self-renewal pathways (SRPs).…”
Section: The Biology Of Cancer Stem Cellsmentioning
confidence: 99%
“…The metabolic profile of dormant cells reflects the function they perform during tumorigenesis. In this line, data are still controversial about the differences between the metabolic states of quiescent CSCs and their differentiated progeny [180]. Indeed, although some studies report, as mentioned above, the dependence of CSCs quiescence on OXPHOS [181][182][183], some others describe a greater dependence on anaerobic glucose metabolism [184][185][186].…”
Section: Metabolic Adaptations Of Dormant Cscsmentioning
confidence: 99%